S Family
Volume 5, Issue 1 , 2001, Pages 3-8
Abstract
Background: Psoriasis is a common disease of the skin. Metabolic disorders have been suggested in the etiology of psoriasis. Objective: As hypocalcemia has been reported to provoke psoriasis, we studied the blood calcium level in this disease. Patients and Methods: In this case-control study, we measured ...
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Background: Psoriasis is a common disease of the skin. Metabolic disorders have been suggested in the etiology of psoriasis. Objective: As hypocalcemia has been reported to provoke psoriasis, we studied the blood calcium level in this disease. Patients and Methods: In this case-control study, we measured blood calcium level in 120 psoriatic patients visited in outpatient clinic or admitted in Ghahem Hospital in Mashhad and compared to 120 age and sex matched normal controls. Results: Considering blood calcium level of 8.5-10.5 mg/dl as normal, 17 psoriatic patients (14%) and 6 controls (5%) were hypocalcemic (P<0.05). Conclusion: As hypocalcemia in psoriatic patients was significantly more common in this study, estimation of blood calcium level is recommended in psoriasis.
ZB Mousavi; A Ebrahimi; M Mirian
Volume 5, Issue 1 , 2001, Pages 9-19
Abstract
Background: During imposed war (1980-1988) Iraq frequently used chemical warfare particularly mustard gas. Skin is frequently involved in victims. Objective: Our main objective was to evaluate chronic skin manifestations due to exposure to mustard gas 10-19 years after exposure in a case-control study. ...
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Background: During imposed war (1980-1988) Iraq frequently used chemical warfare particularly mustard gas. Skin is frequently involved in victims. Objective: Our main objective was to evaluate chronic skin manifestations due to exposure to mustard gas 10-19 years after exposure in a case-control study. Patients and Methods: 101 chemically wounded combators and 121 non-chemically wounded combators were randomly selected and examined by dermatologists. Laboratory tests were done for 30 subjects in each group. Data were analyzed by SPSS/PCT # 5 software using student-t and chi-square tests with Yates correction. Results: Seven itching, burning sensation, skin tightness and dryness, hypo and hyper pigmentation, telangiectasia, melanocytic nevus, cherry angioma, lichenification, alopecia areata, recurrent aphthous stomatitis, tinea versicolor, acute eczema on lower extremities were significantly more common in chemically wounded than the control group. Lymphopenia, lower serum IgM, and higher serum IgG wee also more common in the exposed group. Conclusion: Several skin disorders are more common in chemical gas victims, even several years after exposure. This finding shows that more research on various subjects such as alterations in immune system, adequate training on protective measures, pathophysiology of pruritus and molecular changes are necessary to find better treatment and effective vaccine.
K Nabizadeh; A Nasiri; A Zamanian
Volume 5, Issue 1 , 2001, Pages 20-26
Abstract
Background: The nails of hands and feet are involved in the course of many dermatoses and some systemic diseases. They may have diagnostic or prognostic value in some diseases. Objective: The aim of this study was to evaluate nail lesions in patients referred to Dermatology Department of Sina Hospital ...
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Background: The nails of hands and feet are involved in the course of many dermatoses and some systemic diseases. They may have diagnostic or prognostic value in some diseases. Objective: The aim of this study was to evaluate nail lesions in patients referred to Dermatology Department of Sina Hospital in Hamadan from April 1999 to April 2000. Patients and Methods: This cross-sectional descriptive study was done by preparation of a checklist and necessary information was collected by examining all the patients and recording the nail changes. The data were analyzed with EP16 software. Results: Among 2269 patients visited during this year, 630 persons (27.7%) had nail lesions. Eczema and psoriasis were the most common dermatosis with nail lesions (23.5% and 12%, respectively). Fifty-five patients (8.7%) had only nail diseases. Ridging was the most common nail lesion in hands (32%) and in feet (42%). Conclusion: Approximately one third of patients referred to the dermatologic clinic of Sina Hospital in Hamadan had nail lesions.
M Farshchian; A Zamanian
Volume 5, Issue 1 , 2001, Pages 27-33
Abstract
Background: Behcet’s disease is a recurrent, chronic and multi-systemic disease, which is determined by mucocutaneous manifestations. It spreads all over the world. The most common areas are in the Middle East, Mediterranean and Far East. Objective: The aim of this study was to determine the frequency ...
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Background: Behcet’s disease is a recurrent, chronic and multi-systemic disease, which is determined by mucocutaneous manifestations. It spreads all over the world. The most common areas are in the Middle East, Mediterranean and Far East. Objective: The aim of this study was to determine the frequency of clinical manifestations of Behcet’s disease in patients admitted to dermatology ward of Sina Hospital in Hamadan city in 1991-1999. Patients and Methods: This study was a descriptive retrospective cross-sectional study, which the essential information including sex, age and clinical manifestations were gathered by referring to the patients’ files. Then the obtained information were analyzed by EPI info6 software. Results: Twenty-eight patients were identified. Thirteen patients (46.6%) were female and 15 patients (53.6%) were male. The most common age was in the third decade. The average age of the patients at the beginning of disease was 31.89±12.95 years. Skin involvement was observed in 11 patients (39.9%). Nine patients (32.1%) had folliculitis, 5 patients (17.9%) had papulopustular lesions, 2 patients (7.1%) had erythema nodosum like lesions. Conclusion: This study showed that skin involvement (Particularly erythema nodosum like lesions, papulopustular lesions and positive pathergy test) and also articular symptoms were less common in patients in Hamadan than other parts of world. But the frequency of other clinical manifestations of Behcet’s disease were nearly equal to other studies.
H Ansarin; S Abbasi Moin
Volume 5, Issue 1 , 2001, Pages 34-38
Abstract
Background: Pruritic skin disorders are one of the most common disorders in elderly. Objective: To find out the prevalence of pruritic skin disorders in the elderly residing in Kahrizak Institute in Tehran. Patients and Methods: In this descriptive, cross sectional survey, all the elderly over 60 years ...
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Background: Pruritic skin disorders are one of the most common disorders in elderly. Objective: To find out the prevalence of pruritic skin disorders in the elderly residing in Kahrizak Institute in Tehran. Patients and Methods: In this descriptive, cross sectional survey, all the elderly over 60 years of age without dementia residing in Kahrizak Institute in Tehran in the first 6 months the year 1379 were studied for the presence of 9 pruritic skin disorders including xerosis, eczema, lichen simplex chronicus, infections, urticaria, insect bite and scabies, psoriasis vulgaris, drug eruption and anogenital pruritus. Questionnaires were completed for persons who complained from pruritus, based on general examinations. Statistical analysis was done by using SPSS/PC software. Results: Out of 734 elderly included in the study, 161 (22%) had pruritus including 89 women (54%) and 72 men (46%). The most common cause of pruritus in both sexes were xerosis or senile pruritus. Eczemas were more common in males and the most common type was seborrheic dermatitis. Diabetes mellitus was the most common systemic disorder associated with pruritus. Conclusion: Pruritic skin disorders are very common in elderly. The responsible organizations must pay attention to this fact and plan better institution and medical facility for this precious group of our society.
G Sadeghian; SH Hejazi; M Kalantari
Volume 5, Issue 1 , 2001, Pages 39-42
Abstract
Background: Cutaneous leishmaniasis is a common parasitic disease in Isfahan province. A common complication of cutaneous leishmaniasis is bacterial superinfection, which may intensify the disease and produce scarring. Objective: The aim of this study was to determine the bacterial species isolated from ...
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Background: Cutaneous leishmaniasis is a common parasitic disease in Isfahan province. A common complication of cutaneous leishmaniasis is bacterial superinfection, which may intensify the disease and produce scarring. Objective: The aim of this study was to determine the bacterial species isolated from infected lesions of cutaneous leishmaniasis. Patients and Methods: Two hundred out of 874 patients with cutaneous leishmaniasis referred to Dermatology and Leishmaniasis Research Center in Amin Hospital in Isfahan during four months (September to December 1999) who had signs of bacterial superinfection were studied by taking microbial cultures from their lesions. Results: Bacterial cultures were positive in 177 cases (20.7% of all patients and 88.5% of sample patients). The isolated bacterias included S.aureus in 61.5%, S.epidermidis in 20.5%, E.coli in 3.5%, proteus vulgaris in 1.5% and Klebsiella in 1.5%. Eighty seven percent of infected patients had ulcerative nodules. Bacterial super infection was significantly more common in ulcerated lesions than non-ulcerated ones (P=0.00001).
M Radmanesh
Volume 5, Issue 1 , 2001, Pages 43-46
Abstract
Lateral labial melanocytic nevus or mole has cosmetic value among young or middle aged Iranian ladies particularly those with fair complexion. I describe auto transplantation of a melanocytic nevus from a remote area of the body to lateral labial skin. After selection of a 3-mm nevus, both donor and ...
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Lateral labial melanocytic nevus or mole has cosmetic value among young or middle aged Iranian ladies particularly those with fair complexion. I describe auto transplantation of a melanocytic nevus from a remote area of the body to lateral labial skin. After selection of a 3-mm nevus, both donor and recipient sites were anesthetized. A punch with a diameter comparable to the diameter of the nevus was chosen. First the recipient site was punched out and discarded. Then the nevus was punched out and transplanted in the recipient site and dressed by dry gauze and fixed by adhesive tape. The transplanted nevus was attached to surrounding skin after 10 years. A superficial crust was developed and seen after removing the dressing 10 days later. Mild shrinkage in size and reduction in pigmentation was seen a month later, which gradually improved thereafter.
A Rasi; S Mirzazadeh Javaheri
Volume 5, Issue 1 , 2001, Pages 47-50
Abstract
Actinic prurigo is a rare disease occurring mainly in individuals of American Indian origin and those living in high altitudes. Skin lesions consist of pruritic popular or nodular excoriated lesions mainly affecting exposed skin but covered skin is also involved in up to 50% of patients. This is the ...
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Actinic prurigo is a rare disease occurring mainly in individuals of American Indian origin and those living in high altitudes. Skin lesions consist of pruritic popular or nodular excoriated lesions mainly affecting exposed skin but covered skin is also involved in up to 50% of patients. This is the first case report of an Iranian patient. This 19-year-old female had pruritic popular and nodular lesions on face, trunk, buttocks and extremities since age of 9 years. The lesions were photosensitive. Histopathological findings were compatible with the diagnosis of actinic prurigo.